Individual
DR. KENNETH STEPHEN LUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
941 CHATHAM LANE, SUITE 215, COLUMBUS, OH 43221-2416
(614) 457-5191
(614) 459-6874
Mailing address
941 CHATHAM LN STE 215, COLUMBUS, OH 43221-2416
(614) 457-5191
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-05-4308
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0797688
—
OH
Enumeration date
03/16/2006
Last updated
07/15/2024
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